COVENANT HOSPICE & PALLIATIVE CARE LP NPI 1396742805

NPI Information

NPI: 1396742805
Provider Name: COVENANT HOSPICE & PALLIATIVE CARE, LP

Doing Business As: COVENANT CARE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
3221 COLLINSWORTH ST
STE 160
FORT WORTH, TX
ZIP 76107
Phone: (817) 735-8741
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COVENANT HOSPICE & PALLIATIVE CARE, LP is a hospice care community based in Fort Worth, TX. COVENANT HOSPICE & PALLIATIVE CARE, LP NPI is 1396742805. The provider is registered as an organization entity type.
The provider Is Doing Business As Covenant Care.

The provider's business location address is:

3221 COLLINSWORTH ST
STE 160
FORT WORTH, TX
ZIP 76107-577
Phone: (817) 735-8741
Fax: (817) 735-8836

The provider's authorized official is David P Capper .
The authorized official title is Administrator and has the following contact phone number (817) 735-8741.

The enumeration date for this NPI number is 6/30/2005 and was last updated on 7/24/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based		007583	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	451706	MEDICARE ID-TYPE UNSPECIFIED	TEXAS	PROVIDER #
2	001003206	MEDICAID	TEXAS
3	007583	OTHER	TEXAS	HCSSA STATE LICENSE #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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